Reynolds, Jeffrey

Reynolds, Jeffrey is an individual health care provider with primary practice located at 240 Indian River Rd Suite A5, Orange CT 06477-3649. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Reynolds, Jeffrey can be contacted via phone (203) 799-1252.

Contact Information

Primary practice address
240 Indian River Rd Suite A5 Orange CT 06477-3649
Fax: (203) 799-3252
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 39093 Connecticut

Profile Details

NPI number 1083600381
LBN Legal business name Reynolds, Jeffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated May 28th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083600381 NPPES
Connecticut MEDICAID 1390939

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